‘She’s sort of breathing’: What linguistic factors determine call-taker recognition of agonal breathing in emergency calls for cardiac arrest?
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2018
- handle: 10670/1.bzsgsk
- hal: hal-01915879
- doi: 10.1016/j.resuscitation.2017.11.058
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info:eu-repo/semantics/altIdentifier/doi/10.1016/j.resuscitation.2017.11.058
info:eu-repo/semantics/OpenAccess
Mots-clés
conversation analysis communication Out-of-hospital cardiac arrest recognition agonal breathing emergency medical services dispatch emergency calls -bio]/Santé publique et épidémiologie -bio]/Human health and pathology/Cardiology and cardiovascular systemSujets proches
Animals--Respiration Animal respiration Ventilation (Physiology) BreathingCiter ce document
Marine Riou et al., « ‘She’s sort of breathing’: What linguistic factors determine call-taker recognition of agonal breathing in emergency calls for cardiac arrest? », HAL-SHS : linguistique, ID : 10.1016/j.resuscitation.2017.11.058
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Background: In emergency ambulance calls, agonal breathing remains a barrier to the recognition of out-of-hospital cardiac arrest (OHCA), initiation of cardiopulmonary resuscitation, and rapid dispatch. We aimed to explore whether the language used by callers to describe breathing had an impact on call-taker recognition of agonal breathing and hence cardiac arrest.Methods: We analysed 176 calls of paramedic-confirmed OHCA, stratified by recognition of OHCA (89 cases recognised, 87 cases not recognised). We investigated the linguistic features of callers' response to the question "is s/he breathing?" and examined the impact on subsequent coding by call-takers.Results: Among all cases (recognised and non-recognised), 64% (113/176) of callers said that the patients were breathing (yes-answers). We identified two categories of yes-answers: 56% (63/113) were plain answers, confirming that the patient was breathing ("he's breathing"); and 44% (50/113) were qualified answers, containing additional information ("yes but gasping"). Qualified yes-answers were suggestive of agonal breathing. Yet these answers were often not pursued and most (32/50) of these calls were not recognised as OHCA at dispatch.Conclusion: There is potential for improved recognition of agonal breathing if call-takers are trained to be alert to any qualification following a confirmation that the patient is breathing.